Provider Demographics
NPI:1508240029
Name:HEALTHCARE CONSULTANTS OF ALASKA,LLC
Entity Type:Organization
Organization Name:HEALTHCARE CONSULTANTS OF ALASKA,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:GALVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-227-7156
Mailing Address - Street 1:3540 PERENOSA BAY DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-2352
Mailing Address - Country:US
Mailing Address - Phone:907-227-7156
Mailing Address - Fax:907-346-1535
Practice Address - Street 1:3540 PERENOSA BAY DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-2352
Practice Address - Country:US
Practice Address - Phone:907-227-7156
Practice Address - Fax:907-346-1535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1023912305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization